<!doctype html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>一元运购-填写收货地址</title>
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, minimum-scale=1.0, user-scalable=no"/> 
<link rel="stylesheet" type="text/css" href="style/main.css">
<script type="text/javascript" src="js/jquery-1.8.3.min.js"></script>
<script type="text/javascript" src="js/TouchSlide.1.1.js"></script>
<script type="text/javascript" src="js/jquery.SuperSlide.2.1.1.js"></script>
<script type="text/javascript" src="js/main.js"></script>
</head>
<body>
	<div class="header loginhead">
		<div class="nav">
		    <div class="search return"><a href="javascript:history.go(-1);"></a></div>
		    <div class="title">填写收货地址</div>
		    <div class="right">
		        <a href="javascript:">保存</a>
		    </div>
		</div>
	</div>
	<div class="container">
		<form action="">
			<div class="address">
				<div class="loginbox ad_border">
					<div class="login_wrap">
						<span class="icon">
							收&nbsp;&nbsp;货&nbsp;&nbsp;人
						</span>
						<div class="input_text">
							<input type="text" placeholder="请填写真实姓名，否则将无法进行配送" id="name">
						</div>
					</div>
					<div class="login_wrap">
						<span class="icon">
							手机号码
						</span>
						<div class="input_text">
							<input type="number" placeholder="请输入手机号码" id="tel">
						</div>
					</div>
					<div class="login_wrap">
						<span class="icon">
							所在区域
						</span>
						<div class="input_text">
							<input type="text" placeholder="请选择所在区域" id="area">
						</div>
					</div>
					<div class="login_wrap">
						<span class="icon">
							详细地址
						</span>
						<div class="input_text">
							<input type="text" placeholder="3-30个字，不包含特殊符号" id="address">
						</div>
					</div>
					<div class="login_wrap">
						<span class="icon">
							邮政编码
						</span>
						<div class="input_text">
							<input type="number" placeholder="请填写邮编（选填）" id="number">
						</div>
					</div>
				</div>
			</div>
			<div class="address">
				<div class="loginbox">		
					<div class="login_wrap default">
						<span class="icon">
							设为默认地址
						</span>
						<div class="input_text">
							<input type="checkbox" id="default" >
							<label for="default"></label>
						</div>

					</div>	

				</div>
			</div>
		</form>	
	</div>
</body>
</html>